Final Report 2015 Manitoba FASD Awareness Survey

Manitoba FASD Awareness Survey March 2015 Final Report 2015 Manitoba FASD Awareness Survey Prepared by: NRG Research Group Llisa Morrow 204-989-89...
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Manitoba FASD Awareness Survey

March 2015

Final Report 2015 Manitoba FASD Awareness Survey

Prepared by: NRG Research Group

Llisa Morrow 204-989-8954 April 21st, 2015

Commissioned by: Healthy Child Manitoba, Children and Youth Opportunities

Table of Contents EXECUTIVE SUMMARY

1

FINDINGS

1

BACKGROUND, OBJECTIVES & METHODOLOGY

3

Social Economic Status Analysis

4

DEMOGRAPHICS

5

SURVEY RESULTS

6

Introduction Question

6

Table 1: Important children’s health issue (multiple mentions) Healthy Pregnancy

6 7

Table 2: Ensuring baby will be born healthy (multiple mentions)

7

Figure 1: Harmful substances

8

Table 3: When is it safe to consume alcohol during pregnancy

9

Table 4: How often can alcohol be consumed safely during pregnancy

9

Table 5: How many drinks are safe in one sitting

10

Figure 2: Safe types of alcohol

10

Table 6: Type of alcohol that is safe during pregnancy

11

Table 7: When to stop consuming alcohol

12

Figure 3: SES comparison: When to stop consuming alcohol

12

Table 8: Reasons for drinking while pregnant (multiple mentions)

13

Figure 4: SES comparison: Reasons for drinking while pregnant (multiple mentions)

14

Specific Questions about Fetal Alcohol Spectrum Disorder (FASD)

15

Figure 5: Heard of FASD

15

Figure 5A: Ethnicity comparison: Heard of FASD

15

Figure 6: Education level comparison: Heard of FASD

16

Table 9: What does FASD stand for

16

Figure 7: Education level comparison: Fetal Alcohol Spectrum Disorder

17

Figure 8: Heard of Fetal Alcohol Spectrum Disorder

18

Figure 9: Have met someone with FASD

18

Table 10: Effects of consuming alcohol during pregnancy (multiple mentions)

19

Figure 10: Ethnicity: Effects of consuming alcohol during pregnancy (multiple mention)

20

Figure 11: Effects of alcohol use usually disappear

21

Figure 12: Alcohol use can lead to life-long disabilities

21

Manitoba FASD Strategy

22

Figure 13: Awareness of community programs

22

Figure 14: Advertising recall

23

Table 11: Main message of advertisement or info (multiple mentions)

24

Figure 15: Age Categories: Main message of advertising or information

25

Women Only

26

Table 12: Current personal situation (females only)

26

Table 13: Change in alcohol consumption (females only)

26

Table 14: Alcohol consumption since becoming pregnant (females only)

27

Table 15: Child in last five years (females only)

27

Table 16: Advice received from doctor (females only) (multiple mentions)

28

Men Only

28

Table 17: Partner or spouse pregnant (males only)

29

Table 18: Partner or spouse advice on alcohol consumption (males only)

29

Table 19: Personal alcohol consumption (males only)

29

Encouraging a Woman Not to Drink Figure 16: Who should encourage women not to drink alchol during pregnancy

APPENDIX A: QUESTIONNAIRE

30 30

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Manitoba FASD Awareness Survey

March 2015

Executive Summary NRG Research Group (NRG) was contracted on behalf of the Government of Manitoba to conduct a telephone survey with members of the general public within Manitoba. The primary purpose of the research was to gauge awareness and perceptions of alcohol use during pregnancy, understand people’s familiarity with Fetal Alcohol Spectral Disorder (FASD), and measure awareness of Manitoba’s FASD Strategy. A total of 1,001 interviews were conducted over a 17 day period spanning from February 3-19. All surveys were completed within Manitoba to reflect the population distribution throughout the province.

FINDINGS Overall, the majority of Manitobans recognize the consumption of alcohol during pregnancy to be harmful to an unborn baby. Women tend to be more informed in relation to health and wellness issues related to pregnancy in comparison to men. The majority of Manitobans feel that there is never a good time to consume alcohol during pregnancy and recognize there are no safe types of alcohol. Manitobans with an annual household income of $80,000 and higher are more likely to recognize there are no safe types of alcohol when compared to Manitobans with an annual household income of less than $80,000. Most Manitobans believe that a woman should stop drinking alcohol when trying to get pregnant; women tend to believe this more frequently in contrast to men. Manitobans who selfidentified as Asian are more likely to consider some types of alcohol safe to consume during pregnancy and are also less familiar with the term FASD and are less familiar with the effects that consuming alcohol may have on a baby compared to other ethnicities. Manitobans believe there are many reasons a woman may drink while pregnant, including, but not limited to, addiction issues, being unaware of the potential harms of alcohol, and using alcohol to cope with mental illness, stress, abuse or other challenges. Additional reasons also include habit or lifestyle choices, being unaware of the pregnancy, not caring about the impact on the baby, or being encouraged to drink by a partner/friends/family or not having a support network in place to stop consuming alcohol. Just over half of the Manitobans surveyed believe they have met someone who has been diagnosed with a Fetal Alcohol Spectrum Disorder (FASD). Manitobans believe there are a variety of effects that alcohol consumption during pregnancy might have on a baby, including brain damage, physical disorders, mental disorders, learning disabilities, delayed development, intellectual disabilities, and attention deficit disorder/hyperactivity. With the exception of a small percentage, Manitobans understand that alcohol use during pregnancy can lead to life-long disabilities in a child. There is an awareness of community programs that support women in preventing alcohol use during pregnancy. Residents in Northern Manitoba are more likely to be familiar with these types of programs,

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Manitoba FASD Awareness Survey

March 2015

as well as those who self-identified as Aboriginal. Manitobans who self-identified as Asian are less likely to be familiar with community programs that support women in preventing alcohol use during pregnancy in comparison to other ethnicities in Manitoba. The majority of Manitobans can recall seeing advertising or information in Manitoba about alcohol consumption during pregnancy. Recall of messages and information included: not consuming alcohol while pregnant; drinking alcohol while pregnant can harm the baby; there is no safe amount of alcohol; and the phrase, “With child-without alcohol.” Manitobans recalled seeing information in television ads, in Liquor Marts, in doctor’s offices and hospitals, on posters, on bus ads, on billboards, in public washrooms, and in the newspaper. Woman who are currently pregnant or may become pregnant in the future are generally aware of the harmful effects of alcohol on an unborn child. Women who have received advice from their doctors about alcohol use while pregnant were told to avoid alcohol completely. However, some women were given no advice from their doctors regarding alcohol consumption while pregnant. The majority of Manitobans felt that family and friends should be involved in encouraging a woman not to drink during pregnancy. In addition, Manitobans also felt the partner or spouse, health care providers, and the community should have some level of involvement. Of note, a small percentage felt the government should also have involvement in encouraging a woman not to drink during pregnancy.

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Manitoba FASD Awareness Survey

March 2015

Background, Objectives & Methodology The survey was conducted on behalf of The Healthy Child Manitoba Office with the Manitoba Government department of Children and Youth Opportunities. In October of 2014, NRG Research Group (NRG) was contracted by the Government of Manitoba to complete a Manitoba wide telephone survey to measure awareness and perceptions of alcohol use during pregnancy, understand people’s familiarity with Fetal Alcohol Spectrum Disorder (FASD), and measure awareness of Manitoba’s FASD Strategy. A total of 1,001 Manitobans participated in the research survey. All surveys were completed within Manitoba to reflect the population distribution throughout the province. The information in the survey will help Healthy Child Manitoba in obtaining the best possible outcomes for Manitoba’s children, families, and communities. A random sampling approach was used to contact households via landlines within Manitoba. A cellular phone sample was also collected to allow for a more representative overview of the population, and to help reach Manitobans under 45 years of age (who are more likely to reside in cellular-phone-only households). The questionnaire was designed by the Manitoba Government in consultation with NRG. The final survey instrument was 10 minutes in length and the telephone data collection was conducted out of NRG’s Winnipeg call center using our CATI data collection software. The survey was completed with individuals who were 18 years of age and older. Gender quotas were set to obtain a slightly higher response rate from female respondents (52%) than male respondents (48%). Regional quotas were set for the province and also for the city of Winnipeg. The final data was weighted to ensure an accurate representation of the population of Manitoba. The table below provides an overview of the sample sizes in the four regions both weighted and unweighted. During the survey process, the non-Winnipeg regions are slightly over-sampled and weighted back to proportion. A survey of this size results in data that, in theory, is accurate +/- 3.10 percent 19 times out of 20. Region

Sample Size Weighted

Sample Size Unweighted

Winnipeg

567

601

Northern Manitoba

64

75

Southern Manitoba

331

251

Brandon

40

74

Within the tables throughout the report, the term multiple mentions is indicated whenever the data includes more than one answer from each respondent. In most cases, between two and four answers have been collected for the multiple mentions questions, depending on how much information the respondent was able to provide for each particular question.

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Manitoba FASD Awareness Survey

March 2015

Various question types were used during the survey: multiple choice, open ended, yes/no, true/false. The type of question being employed for a given question is presented in brackets immediately following the question itself. Note that for the multiple choice questions, only response options that were actually selected by respondants are presented in the tables. For a complete list of the survey questions, and the response options see Appendix A.

Social Economic Status Analysis Throughout the report, reference has been made to low, medium, and high social economic status (SES). To assist with data analysis, three categories of low, medium, and high SES have been created by grouping together those with similar levels of education and income ranges. The table below shows the number of responses that fell into these three categories. A total of 711 respondents fell within one of these categories. Those who did not fit within one of the categories were not included in this analysis. Each SES category was determined by the following: 

Low SES: Education level of High school or less and household under $60,000 per year



Medium SES: Education level of college degree or higher and household income of under $100,000 per year



High SES: Education level of some college/university or higher and household income of $100,000 or more and anyone with a household income of $100,000 or more per year regardless of education

SES

N= 712

%

Low

145

20

Medium

359

50

High

208

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Manitoba FASD Awareness Survey

March 2015

Demographics The table below lists key demographic information for the respondents surveyed.

Categories

% (N=1,001)

Gender Female Male

52 48

Age 18-24 25-34 35-44 45-54 55-64 65+ Refused

9 20 17 19 18 17 1

Marital Status Married (Common-Law) Widowed Separated Divorced Single Other Refused

63 6 3 6 20 2 1

Number of years in Canada Less than 5 years 5-10 years More than 10 years Refused

5 2 92 1

Highest Level of Education Less than high school Completed high school Some college Some university Completed a college diploma/degree Completed a university degree Other Refused

9 21 6 8 22 33